<%@ page language="java" import="java.util.*" pageEncoding="utf-8"%>
<%@ include file="/WEB-INF/jsp/component/common.jsp" %>
    
        <div class="modal-dialog" >
            <div class="modal-content">
            
                <div class="modal-header">
                    <button type="button" class="close" data-dismiss="modal" aria-hidden="true"> &times; </button>
                    <h4 class="modal-title">尿液</h4>
                </div>
                
                <div class="modal-body">
                <form class="form-horizontal" role="form" id="showForm" name="" action="" method="">
					<div class="form-body">
					<div class="form-group">
						<label class="col-md-3 control-label">白细胞(cells/μL)：</label>
						<div class="col-md-3">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107001 }" />
						</div>
						<label class="col-md-2 control-label">结论：</label>
						<div class="col-md-4">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107001_report }"  />
						</div>
					</div>

		            <div class="form-group">
						<label class="col-md-3 control-label">亚硝酸盐(mg/dL)：</label>
						<div class="col-md-3">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107002 }" />
						</div>
						<label class="col-md-2 control-label">结论：</label>
						<div class="col-md-4">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107002_report }"  />
						</div>
					</div>
					
					<div class="form-group">
						<label class="col-md-3 control-label">尿胆原(μmol/L)：</label>
						<div class="col-md-3">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107003 }"  />
						</div>
						<label class="col-md-2 control-label">结论：</label>
						<div class="col-md-4">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107003_report }"  />
						</div>
					</div>
					
					<div class="form-group">
						<label class="col-md-3 control-label">蛋白质(g/L)：</label>
						<div class="col-md-3">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107004 }"  />
						</div>
						<label class="col-md-2 control-label">结论：</label>
						<div class="col-md-4">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107004_report }"  />
						</div>
					</div>
					
					<div class="form-group">
						<label class="col-md-3 control-label">PH值：</label>
						<div class="col-md-3">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107005 }"  />
						</div>
						<label class="col-md-2 control-label">结论：</label>
						<div class="col-md-4">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107005_report }"  />
						</div>
					</div>
					
					<div class="form-group">
						<label class="col-md-3 control-label">隐血(cells/μL)：</label>
						<div class="col-md-3">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107006 }"  />
						</div>
						<label class="col-md-2 control-label">结论：</label>
						<div class="col-md-4">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107006_report }"  />
						</div>
					</div>
					<div class="form-group">
						<label class="col-md-3 control-label">尿比重：</label>
						<div class="col-md-3">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107007 }"  />
						</div>
						<label class="col-md-2 control-label">结论：</label>
						<div class="col-md-4">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107007_report }"  />
						</div>
					</div>
					<div class="form-group">
						<label class="col-md-3 control-label">酮体(mmol/L)：</label>
						<div class="col-md-3">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107008 }"  />
						</div>
						<label class="col-md-2 control-label">结论：</label>
						<div class="col-md-4">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107008_report }"  />
						</div>
					</div>
					<div class="form-group">
						<label class="col-md-3 control-label">胆红素(mg/dL)：</label>
						<div class="col-md-3">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107009 }"  />
						</div>
						<label class="col-md-2 control-label">结论：</label>
						<div class="col-md-4">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107009_report }"  />
						</div>
					</div>
					<div class="form-group">
						<label class="col-md-3 control-label">葡萄糖：</label>
						<div class="col-md-3">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107010 }"  />
						</div>
						<label class="col-md-2 control-label">结论：</label>
						<div class="col-md-4">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107010_report }"  />
						</div>
					</div>
					<div class="form-group">
						<label class="col-md-3 control-label">维生素C：</label>
						<div class="col-md-3">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107011 }"  />
						</div>
						<label class="col-md-2 control-label">结论：</label>
						<div class="col-md-4">
							<input type="text" class="form-control  input-middel" name="" value="${resultData.resultMap.item_107011_report }"  />
						</div>
					</div>
					</div>
					
				</form>
                </div>
                
                <div class="modal-footer">
                    <button type="button" class="btn btn-default" data-dismiss="modal">关闭</button>
                </div>
                
            </div>
        </div>
    
<script type="text/javascript">

</script>